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* 1. Contact Information:

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* 2. Which organization(s) are you associated with? Please check all that apply.

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* 3. Will you be attending the Educational Sessions on Monday October 28th from 2:00 until 4:00 pm at Saint Arnolds Brewery?

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* 4. Will you be attending the cocktail reception at Saint Arnold's Brewery from 4:30 - 6:30pm on October 28th?

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* 5. Do you have any dietary restrictions?

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